cleaning a wound or body organ by flushing or washing out with water or a medicated solution.

3 EYE IRRIGATION

Washing of the eye externally using stream of water or other medicated fluids.

4PURPOSES OF EYE IRRIGATION

To clean the eye.

To remove foreign particles , excessive secretions or discharge.

To reduce inflammation , congestion and pain.

5Cont

To relieve discomfort.

To apply medication for an antiseptic effect.

6 INDICATIONS

Alkali or acid burns.

Chemical irritants.

To remove foreign bodies from the eye.

7Cont

Biohazard exposures.

To prevent corneal and conjunctival scarring.

8 CONTRA-INDICATIONS

Narrow anterior chamber angles.

Head injury.

Hypersensitivity to medications ( solutions used in eye irrigation).

9 PRINCIPLES

Comfort.

Safety.

Aseptic technique.

Gentle handling.

10 ARTICLES

ARTICLES

A tray containing

Eye irrigator ( undine) , a syring or plastic bottle with the prescribed solution and I /v set with attached tubing or a

RATIONALE

To irrigate the eye.

11Cont

sterile irrigating can with tubing or eye dropper.

12Cont

A bowel or jar with solution.

Sterile wet swab in a bowl.

To irrigate the eye.

To clean the eye before the procedure.

13(No Transcript) 14(No Transcript) 15Cont

Sterile cotton balls in a container.

A mackintosh and a towel.

To dry the eye after procedure.

To protect bedding and garments.

16Cont

Gloves.

A kidney tray and paper bag.

Eye medication if ordered

To prevent cross infection.

To receive the waste.

17SOLUTIOS USED

Plain water.

Normal saline

antiseptic , non- pyrogenic and isotonic.

18Cont

Boric acid 2

antiseptic , insecticide , flame retardant and neutron absorber.

19Cont

Silver nitrate 1

antiseptic , cauterizing agent and disinfectant.

20 PROCEDURE

STEPS OF PROCEDURE

Explain the procedure to the patient and instruct him to tilt his head toward the affected eye . the patient may sit or lie in a supine position.

RATIONALE

To win the patient confidence and co-operation of the client.

21Cont

Place the mackintosh and towel under the patient head.

The kidney tray should be placed on the affected side of the face.

Protect the bedding and clothing.

To prevent the bedding and clothes.

22Cont

Assemble articles at the bedside.

Test the temperature of the irrigating solution.

Facilitate orderly performance of procedure.

The fluid should be at body temperature, if not specified.

23Cont

Wash hands.

Clean the eyelids and eyelashes using sterile wet swabs.

To prevent cross infection.

Any crust on the eyelids and eyelashes should be washed off before irrigation.

24Cont

Hold the eyelids open by separating the eyelids gently with the thumb and forefingers.

Hold the filled eye irrigator about 2.5cm ( 1inch) above the eye.

If force is exerted on the eye , it can cause spastic closure of the eyelids and will make irrigation difficult.

Ensure safe pressure of the solution and avoids possible injury to cornea.

25Cont

Allow irrigating fluids to flow from the inner canthus to the outer canthus.

To prevent forcing the infection to the nasolacrimal duct.

26cont

Irrigate the eye until the solution leaving the eye clear.

Repeat the procedure on the other side if necessary.

For proper cleaning of the eye.

To avoid the spread of the infection from one eye to the other.

27 AFTER CARE

Dry around the eye and face with dry swab.

Apply medication if ordered.

Prevent infection and provide comfort.

Aid is healing and prevent infection.

28Cont

Replace the articles.

Record the procedure with date and time.

Provide documentation for nursing action.

29 COMPLICATIONS

Injury to soft tissues of the eyes.

Superficial abrasion to cornea and conjunctiva.

30Cont

Infection to nasolacrimal duct.

Burns.

31 NURSING RESPONSIBILITIES

Check the name , bed number and identification of the client.

Check the diagnosis and purpose of the eye irrigation.

32Cont

Check the doctors orders for specific instructions regarding type of the solutions , and the temperature .

Check the articles available in the patient unit.

33Cont

Assess the patient mental status to follow the instructions.

Maintain aseptic technique .

34Cont

Record the amount of the fluid used.

Instruct the client do not rub the eye for sometime after the eye irrigation procedure.

35Cont

Inspect the eye after procedure if any ulceration sign appear refer client to physician.

If boric acid solution is used instruct client not go to sunlight immediately.

36

THANK YOU

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